{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T19:00:54Z","timestamp":1779908454081,"version":"3.53.1"},"reference-count":35,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"content-version":"unspecified","delay-in-days":301,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789324001770_sec1\">\n\t    <jats:title>Objective<\/jats:title>\n\t    <jats:p>This study evaluates the Emergency Medical Service system and overall emergency preparedness by analyzing ambulance-transported patients during the February 6, 2023 earthquakes, focusing on those without earthquake-related injuries (medical emergencies and traumas not caused by earthquakes).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789324001770_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>A retrospective, observational case series was conducted, involving patients aged 18 and above transported by ambulance between February 6 and March 6, 2023. Patient demographic characteristics, vital signs, diagnoses, treatments, and outcomes were recorded. Predisposing factors for ambulance transportation including post-earthquake health facility issues, housing problems, hygiene, heating, and smoke exposure were meticulously analyzed.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789324001770_sec3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>The study included 1872 patients, with a 55.4% hospitalization rate and a 13.7% mortality rate. Cardiovascular emergencies were the primary reason for admission (28.9%). Patients from the hospital in the study\u2019s location form Group 1, whereas those from other earthquake-affected provinces constitute Group 2. Significant predisposing factors for ambulance transportation included post-earthquake health facilities (<jats:italic>P<\/jats:italic> &lt; 0.001), housing problems (<jats:italic>P<\/jats:italic> &lt; 0.001), hygiene (<jats:italic>P<\/jats:italic> &lt; 0.001), heating (<jats:italic>P<\/jats:italic> = 0.001), and smoke exposure (<jats:italic>P<\/jats:italic> &lt; 0.001). In Group 2, pneumonia (<jats:italic>P<\/jats:italic> = 0.001), soft tissue infection (<jats:italic>P<\/jats:italic> = 0.002), sepsis (<jats:italic>P<\/jats:italic> = 0.004), carbon monoxide poisoning (<jats:italic>P<\/jats:italic> &lt; 0.001), and diabetic emergencies (<jats:italic>P<\/jats:italic> = 0.013) were statistically significantly more frequent.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789324001770_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Analyzing post-earthquake ambulance-transported patients is vital to comprehend the demand for emergency health care and address post-disaster health care challenges.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2024.177","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T08:26:52Z","timestamp":1730104012000},"source":"Crossref","is-referenced-by-count":1,"title":["Beyond Injuries: February 6th Kahramanmaras Earthquakes and Other Patients Transported by Ambulance"],"prefix":"10.1017","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5080-3501","authenticated-orcid":false,"given":"Muge","family":"Gulen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salim","family":"Satar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selen","family":"Acehan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarper","family":"Sevdimbas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Gorur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kadir","family":"Nigiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cagdas","family":"Ince","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayca","family":"Balta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esra","family":"Aybal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suleyman","family":"Cetinkunar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,10,28]]},"reference":[{"key":"S1935789324001770_r16","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-023-01129-2"},{"key":"S1935789324001770_r25","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009190"},{"key":"S1935789324001770_r19","unstructured":"19. Turkish Medical Association in Extraordinary Situations Rapid Assessment and Response Team. Antakya, Defne, \u0130skenderun (Hatay) Health Institutions and Services Rapid Assessment Report. Accessed March 24, 2023. TTB 2-4 Mart 2023 Hatay Antakya, Defne, \u0130skenderun Sa\u011fl\u0131k Kurumlar\u0131 ve Hizmetleri H\u0131zl\u0131 De\u011ferlendirme Raporu"},{"key":"S1935789324001770_r9","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2023.160"},{"key":"S1935789324001770_r32","doi-asserted-by":"publisher","DOI":"10.1057\/jphp.2012.2"},{"key":"S1935789324001770_r33","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa021807"},{"key":"S1935789324001770_r14","doi-asserted-by":"publisher","DOI":"10.52312\/jdrs.2023.1102"},{"key":"S1935789324001770_r27","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.417"},{"key":"S1935789324001770_r26","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.367"},{"key":"S1935789324001770_r29","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2021.11.005"},{"key":"S1935789324001770_r1","unstructured":"1. Disaster and Emergency Management Authority of the Republic of Turkiye (AFAD) February 6, 2023, Pazarc\u0131k-Elbistan (Kahramanmara\u015f) Earthquakes Report. June 2, 2023."},{"key":"S1935789324001770_r11","first-page":"51","article-title":"The analysis of adult patients admitted to third level emergency department by 112 ambulance","volume":"5","author":"Silibolatlaz","year":"2018","journal-title":"Bosphorus Med J."},{"key":"S1935789324001770_r35","unstructured":"35. Lewis, S. The 10 Largest Base-Isolated Buildings in the World. ENR Engineering News-Record. 2017. Accessed December 2, 2023. https:\/\/www.enr.com\/articles\/42366-the-10-largest-base-isolated-buildings-in-the-world"},{"key":"S1935789324001770_r12","first-page":"963","article-title":"An overview of the strengths and challenges related to health on the first 10 days after the large earthquake in the west of Iran, 2017","volume":"48","author":"Peyravi","year":"2019","journal-title":"Iran J Public Health."},{"key":"S1935789324001770_r22","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(99)90059-1"},{"key":"S1935789324001770_r2","unstructured":"2. U.S. Geological Survey. M 7.8\u201326 km ENE of Nurda\u011f\u0131, Turkey, Literature 2: Access date: 06 February 2023. https:\/\/earthquake.usgs.gov\/earthquakes\/eventpage\/us6000jllz\/executive. 2023."},{"key":"S1935789324001770_r28","doi-asserted-by":"publisher","DOI":"10.1016\/j.nmni.2023.101127"},{"key":"S1935789324001770_r24","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-3298"},{"key":"S1935789324001770_r30","first-page":"1122","article-title":"Disaster area triage in the first 24 h of earthquakes, evaluation of pre-hospital and hospital procedures: 6.6 Elazig earthquake","volume":"28","author":"Yorulmaz","year":"2022","journal-title":"Ulus Travma Acil Cerrahi Derg."},{"key":"S1935789324001770_r4","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED.171.1S.8"},{"key":"S1935789324001770_r10","first-page":"59","article-title":"The evaluation of the 6th February Earthquake in Kahramanmaras within the context of crisis management","volume":"2023","author":"Ata","journal-title":"The Meric Journal."},{"key":"S1935789324001770_r5","first-page":"1673","article-title":"Post-earthquake injuries treated at a field hospital --- Haiti, 2010","volume":"59","year":"2011","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"S1935789324001770_r23","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17217832"},{"key":"S1935789324001770_r17","unstructured":"17. December 2, 2023 Adana \u015eehir E\u011fitim ve Ara\u015ft\u0131rma Hastanesi (saglik.gov.tr)"},{"key":"S1935789324001770_r34","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-020-18072-w"},{"key":"S1935789324001770_r7","first-page":"59","article-title":"Morbidity pattern and impact of rehabilitative services in Earth quake victims of kashmir, India","volume":"4","author":"Ali","year":"2010","journal-title":"Int J Health Sci (Qassim)."},{"key":"S1935789324001770_r18","unstructured":"18. Ministry of Health of the Republic of Turkey. Emergency Services in in-Bedded Health Facilities Notification On Application Procedures And Principles. September 13, 2022; Number: 31952. Accessed December 2, 2023."},{"key":"S1935789324001770_r15","unstructured":"15. Accessed February 21, 2023 \u00c7ukurova \u00dcniversitesi T\u0131p Fak\u00fcltesi Balcal\u0131 Hastanesi \u201cdeprem g\u00fc\u00e7lendirmesi\u201d i\u00e7in bo\u015falt\u0131l\u0131yor (adanapost.com)"},{"key":"S1935789324001770_r31","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2021.2013597"},{"key":"S1935789324001770_r8","unstructured":"8. Union of Chambers of Turkish Engineers and Architects, 6 February Earthquakes 8th Month Evaluation Report. Accessed October 8, 2023. TMMOB 6 \u015eUBAT DEPREMLER\u0130 8. AY DE\u011eERLEND\u0130RME RAPORU YAYIMLANDI | www.tmmob.org.tr"},{"key":"S1935789324001770_r13","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X23006416"},{"key":"S1935789324001770_r6","doi-asserted-by":"publisher","DOI":"10.1186\/cc7729"},{"key":"S1935789324001770_r20","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X23000432"},{"key":"S1935789324001770_r3","unstructured":"3. U.S. Geological Survey. M 7.5\u20134 km SSE of Ekinozul, Turkey, Literature 3: Accessed date: 6 February 2023. https:\/\/earthquake.usgs.gov\/earthquakes\/eventpage\/us6000jlqa\/executive. 2023."},{"key":"S1935789324001770_r21","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X21001229"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789324001770","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T08:27:04Z","timestamp":1730104024000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789324001770\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":35,"alternative-id":["S1935789324001770"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2024.177","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e201"}}